HomeMy WebLinkAbout20273118 - PermitProject Address: 1420 N Broadway
Assessor's Parcel: 398-522-21 Lot: 5, POR 3, POR 7
Unit: 8
Block: 3
Bldg. Address Range:
Tract: HELME.S ADD Historic: Yes
Suite Range:
Zoning. SP3
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City of Santa Ana 20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical
PermitCounter: (714)647-5800 lnspection Requests: (714)667-2738 lnspectorSection: (714)647-5853
Permit #= 20.273{ 18
Pin #: 4172U^
Owner:
Address.
Phone:
Tenant Name:
Contractor:
Address:
Phone:
Yifeng Yuan
71 Oval Rd
lrvine, CA 92604
(626) e22-7823
PPRS Plumbing lnc
2300 S Resevior St #109
Pomona, CA 91766
(866) 261-332s
01 1 16002 51603
01116002 51600
01 1 16002 51603
01116002 57770
Fee Type
125 Volt Receptacle
General Plan Update
lssuance
Microfilm Records
Amount
1 .57
23.79
59 30
4.05
Qty
1 .00
1 .00
1 .00
100
Fee
$1 57
$23 79
$59 30
$4 05
State Lic #: 1043830
Lic Type: C-36
Bus. Lic #: 377758
Workers' Compensation I nsurance:CaTTieT: STATE FARM FIRE AND CASUALTY COMPANY
Policy #: 92GPW465
Expires: 0611812021
Building Use:
,'ftob Type:
Nature of Work:
a
' Planning Conditions:
Planning Approval By:
Plan Checked By:
Permit lssued By: Chavez, Dave
Subject to Field: -7 4-
Buirdins Permit #: 1 0 2106403
Multi-Family (5 or more uni Occupancy:
Alteration Constr Type:
N/V - lnterior Remodet Code:
Date:
Date:
Date:
R-1
VB
cEc 2019
04t12t2021
Account#
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Notes: Electrical
Fee Total:
Paid to Date:
Balance Due:
01 1 1 6002 51 600
01 1 1 6002 51 603
01 1 16002 57770
$23 79
$60 87
$4 05
$88 71
$0.00
$88.71
Every permitissued shall become invalid unless the work on the site
authorized by such permit is commenced within 360 days after its
issuance, or if the work authorized on the site by such permitis suspended
or abandoned for a period of 360 days after the time the work is
commenced.
lnspector MID#: 2021-165118
APPROVALS DATE ID/SIG.COMMENTS
Site-Work
Underqround
Pole Bases
Liqht Standards
Spas, Pool, Fountains
Siqns (monument)
Life Safety /Low Voltage
Fire Alarm / Dampers
Communications Cable
Buildinq
Under Slab / Floor
Bonding I Grounding I UFER
Transformers
Torqueinq
Sub-Panels
Air Conditioners
Roof Top Equipment
Factorv Wired Unit
Walls (Conduit)
Wails (Rouqh)
Ceilinos (Hard & Soffit Rouoh
Ceilinqs (T-Bar Rouqh)
N/eter Release
,l I tl
Rouqh ruLlLl J)f{Ytr,7
Service [Vleter
FINAL lD.S -tt tr ^{'4t
Notes, Remarks, Etc.
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DITI.CARA'tlON
I hcrcby aflirm undcr pcnalty of perjury that I er excmpt frcm lhc Contracton' Licens lrw for thc following re&sn (Ss.70.31.5
Business and Profcssion Codc): Any City or County shich rcquircs a pcrmit to construcl. trlts, imprcvc, dcrtlish or rcpair any
strucrm, prior lo its issuarce, als rcquircs thc applicant for such Frmit to filc a sigred stotercnt that hc or slE is licenrd luiuant
to thc prcvisioN of thc Contmctor's Licenrcd taw (Chaptcr 9. Commercing with Scction 70OO of Division 3 of lhc Busircss ed
Profcssions Code) or Ihat hc or shc is cxcmpt thcrcfrcm and thc basi\ for thc allcgcd cxcmplion. Any violation of Setion 703 1.5 by .ny
applicant for a fErmit subjccts thc applic.nt to a civil pcmlty of not mrc tha five hundrcd dollus ($500).
-1.
as owncr of thc prclrc ty, or my cmplores vith wsgcs as thcir slc omlrcnstion, will do thc wo]k and thc stnElw is rct
inlcndcd or offered for $lc (Se.7044, Busircss and Profcssions Codc: The Contretor's Liccns kw docs not spply to an owncr of
thcprcIEny whobuildsorinpreuthc@[ondwhodesochmrkhimsclforhcrslforlhrcughhisorhcrowncmployccs,
providcd that such impmwmnts rc rct intcndcd or offcrcd for sh. lf, howcwf, thc buiHing or impmrcmnt is sH within onc )t4
of or{,htion, thc Owrcr Buikhr will haw the burdcn of prcving thar hc or shc dil rct buiH or itrprcw thc prolEty for thc purporc of
strlc).
-1,
as owncr of thc popcrty, am cxclusivcly contrrcting with liccnscd contracloE to construct thc Fojccl (Ss. 7044, Busincss
and PmfcsionCodc:TheContretor'sLiccnscLavdcsnotapplytosowncrofpropertywhobuildsorimptovesthcrcon,
and who conrrcts for such prciEts with o Contrcto(s) liccnsd puNunt to thc Contractor's Licensc l:w).
-Iamcxcm],tundcrscclion-'B.&P.c.forthisrcason.Date:--*r**"ro' a,rMPExsA'rION
DECLARATION
I hcrcby affirm undcr pnalty of perjury onc o[ thc following dcclaratbns:
_l havc and will maintain a Ccrtificatc of Consent to Sclf-lnsure for workers' comJrcnsation. &s providcd for by Section 3700 of thc
Labxrr Code, for thc performancc of thc work for which thc pcrrnit is issucd.
_l havc and will maintain workcrs' compensation insurance, &s rcquircd by Section 3700 of thc Labor Codc, for the pcrformance of
thc work lbr which this pcrmit is issucd. My workcrs' compensation insurancc carrier and plicy numbcr are:
Carricr: 't
Policv Number: Exnires:iD
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certily that in thc grcrlbrmance of the work lbr which this is issucd. I shall not cnlploy any pcrson in any manncr
so as lo bcconrc subject to the workers'cornpcnsalion laws and agrce that if I should bccomc subject to lhc
workcrs' conrpcnsation provisions of Secti<ln 3700 of thc l-:bor I shall. forthwith comply with thosc provisions..
WARNING: Failurc to sccurc workcrs' comlrcnsation IS and shall subjcct an cmploycr to penaltics and
civil fincs up lo onc hundrcd thousand dollars ($100.000).cosl conrpensation. damagcs as [<rr thc
Scction J076 [:bor Ccxlc.attorney's fces.
a
I hcrcby aflirnr undcr pcnalty of pcrjury that I am liccnsed undcr provision of Chapter 9 (comtnencing with Scction 7000)
of thc Busincss and Profcssions Codc. and my liccnse is in futl forcc and effect.
Liccnsc t .l
a,
I hcrcby afnrm undcr lEnalty of lErjury that therc is a construction hnding agercy for thc lErforlrc ofthe work for which this Frmit is
issucd (Scc. 3097, Civ. C.).
Lcndcr's Narnc:
[.cnder's Addrcss:
APPLICANT DECLARATION
I hcreby all-um under pnalty of prjury one of the following dcclarations:
Dcmolition Pcrrnits-Asbcstos Notification Fcderal Regulations (Titlc 40, Part6)
_Required [rttcr of Notifrcation
I
-,
certify that the fcderal rcgulations't=asbcstos renroval are not applicable to this projcct.
_l certity that I havc rcad this application statc that thc atxrve int'ormation is corrcct. I with all City and County
ordinanccs and Statc Laws rclating lo and
abovc mcntioncd propcrty ltrr
Applicant or Agenl
I'ernritee name
and hcrcby authorize
-
to cnlcr uJxrn lhc
ELECTRICAL.INSPECTOR RECORD
Dn.r na n7 On'l tr
Owner:_
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